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Case Reports in Dentistry
Volume 2017 (2017), Article ID 3157453, 4 pages
https://doi.org/10.1155/2017/3157453
Case Report

Delayed Treatment of Traumatized Primary Teeth with Distinct Pulp Response: Follow-Up until Permanent Successors Eruption

1Department of Pediatric Dentistry, Orthodontics, and Public Health, Bauru Dental School, University of São Paulo, Alameda Dr. Octávio Pinheiro Brisolla 9-75, P.O. Box 73, 17012-101 Bauru, SP, Brazil
2Department of Dentistry, Paraiba State University, Av. Cel. Pedro Targino, s/n, Centro, 58233-000 Araruna, PB, Brazil

Correspondence should be addressed to Daniela Rios

Received 10 February 2017; Accepted 20 March 2017; Published 29 March 2017

Academic Editor: Jiiang H. Jeng

Copyright © 2017 Gabriela Cristina de Oliveira et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

Abstract

Complicated crown fracture and crown-root fracture with pulp involvement expose dental pulp to the oral environment. The pulp outcome is often unpredictable because the patient and injury which are related to variables can influence the treatment of choice and the prognosis of the case. This report presents the case of a 4-year-old boy with complicated crown fracture with pulp polyp in the primary right maxillary central incisor (51) and crown-root fracture with pulp involvement in the primary left maxillary central incisor (61), which was treated only 3 months after the tooth injuries. The treatment of choice was extraction of tooth (61) due to a periapical lesion with disruption of the dental follicle of the permanent successor and pulpotomy (MTA) of the tooth (51), because the pulp presented signs of vitality. At the follow-up visits, no clinical, symptomalogical, and radiographic changes were observed until the primary tooth’s exfoliation. However, at 3-year follow-up, the permanent successors showed hypocalcification and the position of the permanent right maxillary central incisors (11) was altered. Besides the conservative and adequate delayed treatment, the sequelae on the permanent successors could not be avoided.